The platform provides a more efficient cataract surgery experience
Reviewed by Zachary J. Zavodni, MD
The times required to complete various aspects of the preoperative and intraoperative cataract surgery processes decreased significantly when a cloud-based digital health platform was used to determine its impact on improving pre-surgery efficiency and during the procedure
, according to Zachary J. Zavodni, MD, medical director of The Eye Institute of Utah in Salt Lake City. Zavodni presented her data at the 2022 American Society of Cataract and Refractive Surgery Annual Meeting in Washington, DC.
The platform, SMARTCataract (Alcon), effectively streamlines data entry throughout the process by eliminating manual entry. Zavodni and colleagues conducted a prospective, real-world study at the Eye Institute that included patients undergoing cataract evaluation and surgery. Variables considered included time required and number of manual data entry transcription points for biometers, tomograph, tomograph, and optical coherence tomograph; calculations in the operating room using the LenSx laser and the ORA system (Alcon); and online IOLpower calculations using Barrett True-K and Toric formulas.
Investigators determined the time required for diagnostic workup, preoperative planning for non-astigmatic patients who had not undergone a refractive procedure and for astigmatic patients who had undergone a refractive procedure, and intraoperative preparation. They then compared the results between the traditional manual workflow and the SMARTCataract Planner.
Differences in calculations
Zavodni reported that for patients without astigmatism who had not undergone a refractive procedure, the SMARTCataract Planner saved 58 seconds in the clinic over traditional methods and avoided manual data entry of 18 transcription points.
For post-refractive patients, the SMARTCataract Planner can save 8 minutes, 18 seconds without the need for manual data entry; this included additional tests received (tomograph and confirmatory biometer) in the clinic requiring 1 minute, 33 seconds for 30 transcription points; reduced surgical planning with the True-K formula was 4 minutes, 16 seconds for 19 transcription points; and in the OR with the ORA system was 2 minutes, 29 seconds for 29 transcription points.
For patients with astigmatism, 6 minutes, 36 seconds were gained (i.e. in the clinic 58 seconds for 18 transcription points; in surgical planning using the toric formula 2 minutes, 32 seconds for 18 transcription points; and in the operating room in transfer of given to the LenSx and the Ora system 3 minutes, 7 seconds for 33 transcription points).
Zavodni commented on the significant time savings facilitated by using the platform. The inefficiencies of manual data entry and non-integration exist throughout the cataract surgery workflow, he pointed out, from patient assessment to the time of surgery. Use of the SMARTCataract platform has had a substantial impact on cataract assessment and efficiency in the operating room performed by surgeons and technicians due to its ability to seamlessly integrate data points required for cataract procedures by eliminating manual data entry.
Zachary J. Zavodni, MD
Email: [email protected]
This article was adapted from Zavodni’s presentation at the 2022 American Society of Cataract and Refractive Surgery Annual Meeting in Washington, DC. Zavodni is a consultant at Alcon.